Contraindication

Safety Process: Six Rights and Three Checks The administration of medication is an integral component of the healthcare provision in the modern world (Koehler & Schwinghammer, 2008). It is necessary for nurses to understand the fundamental ideals that seek to safeguard patient safety and ultimately ensure safe outcomes in relation to the administration of drugs (Koehler & Schwinghammer, 2008). The observance of the Six Rights and Three Checks principles are an example of measures that are…

Dexmedetomidine versus Granisetron for the management of post spinal shivering Abstract Background: Shivering is one of the most stressful complications for patient and surgeon during spinal anesthesia. In this prospective, randomized, double blinded study we compared the efficacy of Dexmedetomidine versus Granisetron for control of post spinal shivering. Methods: study was conducted on 120 patients, ASA I-III, of either sex, aged 18–60 years, scheduled for elective lower abdominal and lower…

3.1 NATEGLINIDE (Javed et. al., 2013) Nateglinide [N-(trans-4-isopropylcyclohexylcarbonyl)-D-phenylalanine] is a novel, highly physiologic, glucose regulator recently approved for the treatment of type-2 diabetes mellitus. Nateglinide has a rapid onset and short duration of insulinotropic action that results in reduction of glucose level. Nateglinide block the K-ion channels in pancreatic beta-cells, facilitating insulin secretion. In the present investigation formulation and evaluation of…

Critical Care Paramedics and Advanced/Primary Care Flight Paramedics will perform controlled acts in accordance with the base hospital medical directives issued by the Ornge Base Hospital Physician. USE OF THE MEDICAL DIRECTIVES BY PARAMEDICS These medical directives apply to paramedics who provide patient care under the license and/or authority of the RBH Medical Director. Delegation of controlled acts or medical directives in the ALS PCS to paramedics falls under the exclusive…

My patients’ initial is R, G M and a 75-year-old female who lives with her son. She is divorced from husband. Her cultural identity is Anglo Saxon American who believes in family and the solidarity that involve in it. She belongs to the Erikson final stage of Ego integrity vs Despair. Her behavior that she portrayed to me showed that she felt successful as a happily divorced woman with a son. Although she has a son who is able to take care of her, she decided to go and stay with her friend in…

The field of medicine is constantly evolving as new research is conducted daily. As a healthcare provider it can be easy to manage patients “the way it has always been done” since that is still often an effective treatment method. However, just because a method of treatment has been known for a longer period of time, that does not mean it is the only treatment option still, or even the best treatment method. It’s important to stay up to date on current research that can provide options to the…

A) As you observed the professional/registered nurse’s role in this setting, what evidence of a professional level of nursing practice? The type of setting I was in during my clinical rotation was Acute Rehabilitation. The nurses on the floor all had a very professional mechanism. The use of evidence based practice integrated patient-centered care, working in interdisciplinary teams, integrating research, and quality improvement (Stevens, 2013). These professional nurses displayed…

Degenerative spondylolisthesis (DS) with spinal stenosis is one of the leading causes of lower back pain among people over 40 years old. The disorder is characterized by a displacement of one vertebra over the other, typically between the fourth and fifth lumbar vertebra of the spine, often leading to distinct signs and symptoms in other areas of the body. Although there are several subtypes of spondylolisthesis, this paper will focus on DS in light of its relevance to today’s maturing patient…

During a woman 's life, one of the most exciting and extraordinary roles to go through is pregnancy. Being pregnant is a very intimate experience for several women; during this period a woman 's life goes through many new challenges and may encounter possible problems. Everybody acknowledges that a healthy pregnancy demands special care especially since the woman’s body goes through tremendous changes. A healthy diet followed by moderate exercise is critical and recommended by doctors, as it…

Names: Generic: modafinil, Trade name in New Zealand: MODAVIGIL® (MIMS 2015). Drug class: Central nervous stimulants (Wake- promoting agents) (Ballon and Feifel, 2006) Formulation: Modavigil ® is formulated as modafinil white to off-white, crystalline powder in tablet form. It is available in tablets containing 100mg of modafinil. Excipients in the tablet are: lactose, strach, pregelatinised maize, maicrocrystaline cellulose, croscarmellose sodium, providone and magnesium stearate (Medsafe,…